We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Effect of diet with or without exercise on abdominal fat in postmenopausal women - a randomised trial.
- Authors
van Gemert, Willemijn A.; Peeters, Petra H.; May, Anne M.; Doornbos, Adriaan J. H.; Elias, Sjoerd G.; van der Palen, Job; Veldhuis, Wouter; Stapper, Maaike; Schuit, Jantine A.; Monninkhof, Evelyn M.
- Abstract
<bold>Background: </bold>We assessed the effect of equivalent weight loss with or without exercise on (intra-) abdominal fat in postmenopausal women in the SHAPE-2 study.<bold>Methods: </bold>The SHAPE-2 study is a three-armed randomised controlled trial conducted in 2012-2013 in the Netherlands. Postmenopausal overweight women were randomized to a diet (n = 97), exercise plus diet (n = 98) or control group (n = 48). Both intervention groups aimed for equivalent weight loss (6-7%) following a calorie-restricted diet (diet group) or a partly supervised intensive exercise programme (4 h per week) combined with a small caloric restriction (exercise plus diet group). Outcomes after 16 weeks are amount and distribution of abdominal fat, measured by magnetic resonance imaging (MRI) with the use of the three-point IDEAL Dixon method.<bold>Results: </bold>The diet and exercise plus diet group lost 6.1 and 6.9% body weight, respectively. Compared to controls, subcutaneous and intra-abdominal fat reduced significantly with both diet (- 12.5% and - 12.0%) and exercise plus diet (- 16.0% and - 14.6%). Direct comparison between both interventions revealed that the reduction in subcutaneous fat was statistically significantly larger in the group that combined exercise with diet: an additional 10.6 cm2 (95%CI -18.7; - 2.4) was lost compared to the diet-only group. Intra-abdominal fat loss was not significantly larger in the exercise plus diet group (- 3.8 cm2, 95%CI -9.0; 1.3).<bold>Conclusions: </bold>We conclude that weight loss of 6-7% with diet or with exercise plus diet reduced both subcutaneous and intra-abdominal fat. Only subcutaneous fat statistically significantly reduced to a larger extent when exercise is combined with a small caloric restriction.<bold>Trial Register: </bold>NCT01511276 (clinicaltrials.gov), prospectively registered.
- Subjects
NETHERLANDS; ABDOMINAL exercises; OVERWEIGHT women; ABDOMINAL adipose tissue; LOW-calorie diet; EXERCISE; POSTMENOPAUSE; WEIGHT loss; TREATMENT effectiveness
- Publication
BMC Public Health, 2019, Vol 19, Issue 1, pN.PAG
- ISSN
1471-2458
- Publication type
journal article
- DOI
10.1186/s12889-019-6510-1